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Training Psychiatric Residents and Fellows in a Telepsychiatry Clinic: A Supervision Model

Received December 5, 2006; revised March 30, 2007; accepted May 2, 2007. The authors are affiliated with the Department of Psychiatry at Cedars Sinai Medical Center in Los Angeles; Dr. Delrahim is also affiliated with the Departments of Public Health at the University of San Diego and San Diego State University. Address correspondence to Roxy Szeftel, M.D., Psychiatry, Cedars Sinai Medical Center, 8730 Alden Dr. #W128, Thalians, Los Angeles, CA 90048; szeftelr{at}cshs.org (e-mail).

OBJECTIVES: The authors assess the effectiveness of a specialized telepsychiatry training and supervision training model. METHODS: Fifteen residents and eight child fellows rotated through Cedars Sinai Medical Center Telepsychiatry Developmental Disability Clinic and completed questionnaires of knowledge and self-assessed skills at commencement and completion of the rotation. The supervision was on site, side-by-side, and directive. RESULTS: Both the residents and the fellows demonstrated improvement. Increase in knowledge was equal in the study cohorts, while residents’ self-assessed skills were significantly greater than the fellows’. CONCLUSION: A telepsychiatry clinic appears to be an appropriate setting in which to provide direct supervision. Exposure to such opportunities early in training may yield a greater impact.

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